| Greenleaf Family Dentistry | |
|
1520 Osolo Rd Elkhart IN 46514-4122 | |
| (574) 262-9619 | |
| (574) 262-5376 |
| Full Name | Greenleaf Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1520 Osolo Rd, Elkhart, Indiana |
| Authorized Official Name and Position | William Raymond Flora (OWNER) |
| Authorized Official Contact | 5742629619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenleaf Family Dentistry 1520 Osolo Rd Elkhart IN 46514-4122 Ph: (574) 262-9619 | Greenleaf Family Dentistry 1520 Osolo Rd Elkhart IN 46514-4122 Ph: (574) 262-9619 |
| NPI Number | 1730230731 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730230731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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